Provider Demographics
NPI:1851169312
Name:GALES INSTITUTE ON AGING AND FAMILY COUNSELING, LLC
Entity Type:Organization
Organization Name:GALES INSTITUTE ON AGING AND FAMILY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JULIE
Authorized Official - Last Name:GALES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-703-9851
Mailing Address - Street 1:7315 GLENGROVE DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3869
Mailing Address - Country:US
Mailing Address - Phone:248-703-9851
Mailing Address - Fax:
Practice Address - Street 1:5600 W MAPLE RD STE B212
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3787
Practice Address - Country:US
Practice Address - Phone:248-703-9851
Practice Address - Fax:844-637-0863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty